HomeMy WebLinkAboutGibbs, Richard �
Town Hall, 53095 Main Road
P.O. Box 1179
$i) P.O.
Southold, New York 11971
JUDITH T.TERRY FAX(516)765-1823
TOWN CLERK TELEPHONE(516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL PERMIT
CONSTRUCTION OR ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No. 531 R Residential X Non-Residential
Fee $ 10.00 Septic Cesspool X
PERMIT ISSUED TO:
Name : PECON I C CESSPOOL
Address 1 : P. O. BOX 972
City St Zip MATTITUCK NY 11952
Descripton of Proposed Construction or Alteration
ADDITION OF ONE OVERFLOW POOL TO EXISTING SYSTEM.
APPROVED AS SUBMITTED. HOLD TO 10'0" BETWEEN AND AT LEAST 2'0" ABOVE
WATER TABLE. NOTE: EXCAVATION INSPECTION REQUIRED.
Name Of Owner GIBBS, RICHARD
Mailing Address 1 8 SUNNYSIDE LANE
City St Zip WESTPORT CT 6880
Property Address 1 2140 DEEP HOLE DRIVE
City St Zip MATTITUCK NY 11952
Tax Map No. section 123.00 block 4 lot 4.000
Cross Street RICHMOND STREET
Building Permit Number Cross Reference:
Issue Date: 8/23/89 Judith T. Terry
Southold Town Clerk
(TOWN SEAL)
04- N;)A
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TOWN OF Sn O ol NV-et P.O. Box 1 179
' [ o° • Southold, New York 11971
JUDITH T. TERRY �'""�" "ISI TELEPHONE
TOWN CLERK (516)765-1801
REGISTRAR OF VITAL STATISTICS OFFICE OF THE TOWN CLERK
TOWN OF SOUTHOLD
August 11, 1989
To: Victor Lessard, Southold Town Building Department
From: Linda J. Cooper, Southold Town Clerk's Office
Transmitted herewith is a copy of application No. A544 for an
ALTERATION PERMIT for a cesspool or septic system submitted by
Peconic Cesspool for Richard Gibbs •
Please review the application and location map and advise if this office may
issue the permit.
Please complete the form below and return it to this office.
Thank you.
Linda J. Cooper
* * * * * * * * * * * * *
I have reviewed the application and location map of the project listed
above and make the following recommendation:
APPROVE - 5c
DISAPPROVE -
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Signature
eDate �/tIlli�
OFFICE OF THE TOWN CLERK /�jVFFOG�'
JudithTown of T. thold
Town Clerk le *4 . Application No.
Terry,
Town Hall, 53095 Main Road Construction
P. O. Box 1179
Southold, New York 11971 Alteration c�
Telephone / " Residential
(516) 765-1801
Non-Residential
TOWN OF SOUTHOLD
SOUTHOLD WASTEWATER DISPOSAL DISTRICT
APPLICATION
for
CONSTRUCTION or ALTERATION PERMIT
SEPTIC TANK or CESSPOOL
Permit No.
Fee $
DATE /3/1/1,
APPLICANT NAME:
APPLICANT ADDRESS: , ' O / 71--
SEPTIC
LSEPTIC CESSPOOL
DESCRIPTION OF PROPOSED CON TRUCTION OR ALTERATION e
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LOCATION MAP: Must be attached hereto before permit may be issued.
LOCATION OF PROPOSED CONSTRUCTION OR ALTERATION:
OWNER OF PROPERTY: i4✓ 1 .�%2�6-- z
OWNER MAILING ADDRESS: iy
e-f. Q 6 S-4:9
OWNER PROPERTY ADDRESS: �-/ 'd /14--6 /.
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TELEPHONE NUMBER OF CONTACT PERSON: �I,5'—Y6 Sr '
TAX MAP NO. : Section 123' Block Lot
CROSS STREET:
BUILDING PERMIT NUMBER CROSS REFERENCE:
A '
di —ALI
Signature of Applicant
RECEIVED BY:
ResV Ierk's Office
DATE:
AUG 1I 198
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